Family and Community Medicine: Texas Tech MedCast

Texas Tech MedCast » Reynolds Geriatrics Series

The Texas Tech Medcast is a podcast for medical residents, medical students, practicing
physicians, and others involved in medical education and high quality, patient-centered
primary care. The Texas Tech MedCast Series are available as a subscription or as
individual episodes at no charge from the Apple iTunes Music Store (search Texas Tech or MedCast).

The Reynolds Geriatrics Series is supported in part by an Aging and Quality of Life
grant from the D.W. Reynolds Foundation. Instructions for Texas Tech HSC third-year medical students on how to use the podcasts
during their Internal Medicine and Family Medicine clerkship rotations are available
HERE.

This episode provides an overview of the prevalence and types of urinary incontinence,
as well as techniques for effective history-taking and treatment recommendations.Learning Objectives: the physician audience should be able to:

Describe the scope & prevalence of urinary incontinence

List & describe the types of urinary incontinence

Take a history from a patient complaining of urinary incontinence & list

MS3 Fall

This episode addresses techniques for obtaining a health history from an older adult,
focusing on the physician’s demeanor, communication style, and approach to the patient.Learning Objectives: the physician audience should be able to:

Adjust the environment for a visit with an older patient

Shape the content and pace of the visit

Effectively elicit symptoms from the patients

Address the cultural dimensions of aging

Podcast Pearl: Seven tips for effectively communicating with an older patient during an office visit

MS3 Fall

This episode includes a how-to guide for effective nursing home visits, focusing on
the admission H &P, routine nursing home visits, annual exams, and acute/ urgent care
visits.Learning Objectives: the physician audience should be able to:

Distinguish between the needs of short-term and those of long-term nursing home patients

Perform an Admission History & Physical exam on a nursing home patient

Perform and document a routine nursing home visit

Conduct an annual exam for a nursing home patient

Manage an acute or urgent visit when contacted by the nursing home

Podcast Pearl: Readmission to the Nursing Home after Hospitalization: Avoiding Problems (Dr. Baker)

This episode includes an overview of health literacy with special emphasis on health
literacy issues that affect the older adult and includes strategies for helping older
patients overcome problems with health literacy.Learning Objectives: the physician audience should be able to:

Define the term "health literacy

List reasons why health literacy may be a particular problem for the elderly

MS3 Spring

Posted: 11/14/2006Length: 19:44

This episode outlines the clinical significance of falls in the elderly, the consequences
of falls, risk factors for falls, and clinical approaches to the elderly patient who
falls.Learning Objectives: the physician audience should be able to:

This episode provides an overview of narrative medicine and outlines benefits of engaging
in the narrative medicine process to both patient and physician.Learning Objectives: the physician audience should be able to:

Define the term "narrative knowledge"

List different types or genres of narrative medicine

List potential benefits of narrative medicine to both patient and physician

MS3 Fall

This episode gives an overview of the purposes of functional assessment of the elderly
as well as tools for easy assessment in the office setting.Learning Objectives: the physician audience should be able to:

This episode discusses issues related to BPH, benign prostatic hyperplasia (or hypertrophy).Learning Objectives: the physician audience should be able to:

Interview and examine a male patient complaining of difficult urination

Use the American Urological Association (AUA) Symptom Index for BPH

Indentify treatment options for BPH

This episode was recorded and edited during a seminar at the Society of Teachers of
Family Medicine (STFM) Predoctoral Education Conference at the Peabody Hotel in Memphis,
Tennessee, on Friday, January 26, 2007.

MS3 Spring

Posted: 4/24/2007Length: 18:00

This episode illustrates the use of the Mini Mental State Exam (MMSE), a brief instrument
useful for assessing mental status in the elderly.Learning Objectives: the physician audience should be able to:

Identify at least 3 clinical purposes of the MMSE

List the benefits and limitations of using the MMSE to assess an elderly patient

Be able to administer and score the MMSE

Describe implications of the MMSE for treatment decisions

This episode was recorded and edited during a seminar at the Southern Group on Educational
Affairs (SGEA) Conference at the Brown Hotel in Louisville, Kentucky, on Thursday,
April 19, 2007.